EmailMe Form - STAR Volunteer Application

STAR Volunteer Application

Prior to completing this application, please ensure that you are able to meet all of the requirements of becoming a volunteer at STAR:

1. You must be 18 years or older.
2. You must complete an application and attend a screening interview.
3. You must undergo a criminal background and fingerprinting check.
4. You must complete a 40 hour training sexual assault advocacy training provided by STAR.
5. You must commit to a minimum of one year of service and to volunteer for at least two shifts a month with STAR to remain active and in good standing.

Select which STAR location where you would like to volunteer: *
Alexandria
Baton Rouge
New Orleans
Contact Information
Name *
First Last
Birthdate
MM / DD / YYYY
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Email *
Education, Work and Community Involvement
Please list schools attended and degree(s) earned: *
Are you currently a student? *
If yes, what school:
Anticipated date of graduation:
Major/Minor:
Current (or last) Employer: *
Dates employed:
Please list any agencies and dates of previous volunteer work or community involvement: *
Interest, Skills and Experience
How did you hear about STAR? *
Why do you want to become a volunteer at STAR? *
List any previous training or certifications that might be helpful in this work:
Is your interest in volunteering connecting to required course work or community service? *
What is your primary language? *
What other languages do you speak (if any)?
Can you commit to volunteering on a monthly basis for at least 1 year? *
Do you have access to reliable transportation? *
Have you ever been a client at STAR? *
Have you or someone in your life had a personal experience with rape or child sexual abuse? *
If yes, did the survivor seek counseling?
Have you ever perpetrated any form of sexual abuse, harassment, or assault? If yes, please explain. *
Have you ever been charged or convicted of any crime? If yes, please explain *
NOTE: A background check and fingerprinting is required for all volunteers.
References
Please list names, phone numbers, and e-mail addresses of two references (personal or professional):
Name 1 *
First Last
Phone 1 *
### - ### - ####
Email 1 *
Name 2 *
First Last
Phone 2 *
### - ### - ####
Email 2 *
Demographics (optional):
This information is optional and is being collected for the purpose of maintaining compliance with STAR's Diversity Plan. Please complete the following information as you feel comfortable.
What is your gender identity?
What races and/or ethnicities do you identify as?
Are you a veteran?
By submitting this application, I hereby apply to volunteer with the Sexual Trauma Awareness and Response (STAR) and certify that I have made no falsifications, misrepresentations, or omissions in this application. I hereby give STAR permission to contact my listed references.

Contact Information

Education, Work and Community Involvement

Interest, Skills and Experience

NOTE: A background check and fingerprinting is required for all volunteers.

References

Demographics (optional):